Michelle Camburn, QMHP
Counselor, Mental Health in Madras, OR. Individual provider (NPI-1).
NPI number1033764337
StatusActive
Last updated in NPPESAug 5, 2019
Details
- NPI
- 1033764337
- Entity type
- Individual (NPI-1)
- Name
- Michelle Camburn
- Credential
- QMHP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2019
- Last updated
- Aug 5, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
850 Sw 4th StMadras, OR 97741-9628
Phone 541-475-6575 · Fax 541-504-1195
Mailing address
Po Box 1710Redmond, OR 97756-0516
Phone 415-164-0875 · Fax 541-504-1195
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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